MS. JULIA ICENOGLE (NPI# 1437571890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437571890 |
Entity Type | Individual |
Full Name | MS. JULIA ICENOGLE |
Credential | MOT, OTR/L |
Practice Address |
7315 212th St Sw Ste 104 Edmonds WA 98026-7610 |
Mailing Address |
4220 132nd St Se Ste 101 Mill Creek WA 98012-8999 |
Practice Telephone | 4257743226 |
Practice Fax Number | 4256701406 |
Mailing Telephone | (425) 316-8046 |
Mailing Fax Number | 4253389637 |
Enumeration Date | 2014-01-20 |
Last Update Date | 2017-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225X00000X | Occupational Therapist | OT 60399402 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
312111 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7315 212TH ST SW STE 104 |
City | EDMONDS |
State | WA |
Zip Code | 98026-7610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497066468 | Addina Jenkins | Occupational Therapist | 7315 212th St Sw Ste 104, Edmonds, WA 98026-7610 | 2010-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
Find all providers in zip 98026 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255805271 | Karen Sziel Otr/l, Cht, LLC | Occupational Therapist | 144 Railroad Ave Ste 310, Edmonds, WA 98020-4100 | 2019-01-12 |
1760589238 | Allegra P Andersen | Occupational Therapist | 7320 216th Street Sw, Suite 320, Edmonds, WA 98026 | 2006-09-19 |
1255790374 | Premier Therapy Associates, LLC | Occupational Therapist | 21827 76th Ave W, Suite 101, Edmonds, WA 98026-7981 | 2016-02-17 |
1295990380 | Janet Lynn Determan | Occupational Therapist | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2008-07-28 |
1598805160 | Kimberly K Caruso | Occupational Therapist | 7320 216th St Sw, Suite 320, Edmonds, WA 98026-8006 | 2007-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811439425 | Caitlin Corinne Snowden | Occupational Therapist | 833 K St, Washougal, WA 98671-1138 | 2016-11-14 |
1972914752 | Puget Sound Hand Therapy & Structural Medicine | Occupational Therapist | 1818 S Union Ave Ste 1b, Tacoma, WA 98405-1953 | 2014-05-14 |
1942641147 | Ret Sunrise Physical Therapy Pllc | Occupational Therapist | 17528 Meridian E Ste 205, Puyallup, WA 98375-6286 | 2013-07-16 |
1598032815 | Washington Therapy Group, Inc | Occupational Therapist | 1810 116th Ave Ne Ste D-4, Bellevue, WA 98004-3058 | 2011-12-01 |
1548416001 | Integrated Rehabilitation Group PC | Occupational Therapist | 3732 Colby Ave, Everett, WA 98201-4911 | 2008-08-14 |
1720299621 | Jarod Frederick Mann | Occupational Therapist | 303 S F St, Aberdeen, WA 98520-1099 | 2007-05-24 |
1467582320 | Eastside Hand Rehabilitation Clinic Inc | Occupational Therapist | 12911-120th Ave Ne, Suite F-120, Kirkland, WA 98034-3025 | 2007-03-07 |
1073663522 | Elizabeth A Duran | Occupational Therapist | 601 W 5th Ave Ste 304, Spokane, WA 99204-2714 | 2007-01-10 |
1538231113 | Mitchell Hisao Suzawa | Occupational Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2006-11-15 |
1164501268 | Alex G. Bartl | Occupational Therapist | 805 W Orchard Dr Ste 2, Bellingham, WA 98225-1759 | 2006-11-02 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.